Individual
CARLA M QUADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00681
RI
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN00681
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001310501
MEDICARE
—
05
—
CQ40407
—
RI
Enumeration date
09/27/2007
Last updated
03/01/2024
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